Form Au-797 - Dissolution Guarantee Declaration For Stock Corporations

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Dissolution Guarantee Declaration for Stock Corporations
I, ___________________________________________________________, state that:
(Name)
1. I am the ______________________________________________________ of
(Title)
_________________________________________ and I am duly authorized to
(Name of Corporation)
execute this declaration on behalf of the corporation;
2. Full payment of any accounts payable to the Commissioner of Revenue Services
that are determined to be due and are lawfully assessed against
________________________________________________________________
(Name of Dissolving Corporation)
for any taxable period during which the company was subject to these taxes
according to the Connecticut General Statutes is guaranteed; and
3. The Internal Revenue Service has audited the United States corporation income
tax returns of the corporation through the taxable year ending ____________.
(Year)
Reports of all corrections resulting from these audits that have not been
submitted previously to the Commissioner of Revenue Services on the
prescribed form have been submitted as required by Section 12-226 of the
Connecticut General Statutes.
Declaration:
I declare under penalty of law that I have examined this declaration (including any
accompanying schedules and statements) and, to the best of my knowledge and belief, it is true,
complete, and correct. I understand the penalty for willfully delivering a false return, statement, or
document to Department of Revenue Services (DRS) is a fine of not more than $5,000, or
imprisonment for not more than five years nor less than one year, or both. The declaration of a
paid preparer other than the taxpayer is based on all information of which the preparer has any
knowledge.
__________________________ _____________________________
_________________
(Signature of Principal Officer)
(Title)
(Date)
AU-797 (Rev. 03/08)

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